A patient has AD. You are helping her dress. You should:
a. Decide what she will wear
b. Let her choose from a dress, pant suit, sweat suit, or a skirt and blouse
c. Let her choose between a dress and a pant suit
d. Explain why she needs to wear undergar-ments
C
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When administering the fusion protein inhibitor enfuvirtide (Fuzeon) to a patient with HIV, the nurse should
A) have the patient gargle with normal saline immediately after taking the drug. B) flush the patient's central venous catheter with 100 Unit/mL heparin prior to administration. C) inject the drug into the patient's ventrogluteal site using the z-track method. D) regularly rotate the subcutaneous injection sites that are used.
As part of the newborn assessment, the nurse inspects the gluteal and popliteal folds of the hips to assess for:
A. opisthotonos. B. neurologic development. C. congenital hip dysplasia. D. muscle development.
Inspection of a patient's skin reveals the presence of an irregularly shaped brown patch covered with hair. The patch is palm-sized and is located on the patient's shoulder. The nurse anticipates which diagnosis of this finding?
1. Intradermal nevus 2. Halo nevus 3. Becker's nevus 4. Junctional nevus
The nurse is caring for an older client whose husband died approximately 6 weeks ago. The client says, "There's no one left to care about me. Everyone that I have loved is now gone." The nurse would make which response to the client?
1. "That doesn't sound like the real you talking!" 2. "I'm sure you have someone if you think hard enough." 3. "It sounds as though you are feeling all alone right now." 4. "I don't believe that, and I really don't think you do either."